Individual
COURTNEY NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
10420 ESTATE LN, DALLAS, TX 75238-2211
(817) 597-6571
Mailing address
10420 ESTATE LN, DALLAS, TX 75238-2211
(817) 597-6571
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
38157
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SSN
DOCTOR ON DEMAND
—
Enumeration date
05/27/2020
Last updated
05/27/2020
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